Brianne Horton, DMD
Individual provider Active NPI Dentist · Bourne, MA
NPI 1992546147 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1992546147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN10000419 (MA)
- Practice address
- 1 Technology Park Dr Ste C
Bourne, MA 02532-8338 - Phone
- (508) 759-2724
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10000419 | MA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10000419 | MA | Yes |
Addresses
Primary practice location
1 Technology Park Dr Ste C
Bourne, MA 02532-8338
Mailing address
14 Staples Shore Rd
Lakeville, MA 02347-1647
Other providers in Bourne, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.